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1538205703
DOUGLAS JOHN PARK
RICHMOND, VA
NPI
1538205703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305003428)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
-- DOUGLAS JOHN PARK PT
2625 DOVERSHIRE RD
RICHMOND, VA 23235-2815
Phone number: 804-272-2325
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Mailing Address
-- DOUGLAS JOHN PARK PT
2625 DOVERSHIRE RD
RICHMOND, VA 23235-2815
Phone number: 804-272-2325
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